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. 2023 Feb 8;20(4):2994. doi: 10.3390/ijerph20042994

Table 5.

A comparison between different prediction models of preeclampsia.

Organization NICE
(National Institute for Health and Care Excellence)
ACOG
(American College of Obstetricians and Gynecologists)
ISSHP
(Iinternational Society for the Study of Hypertension)
FMF
(Fetal Medicine Foundation)
Screening method Based on numbers of risk factors

High-risk factors:
Previous pregnancy with preeclampsia
Chronic hypertension
Autoimmune disease
Diabetes mellitus

Moderate-risk factors:
Nulliparity
Age ≥ 40 y/o
Interpregnancy interval ≥ 10 years
Initial BMI ≥ 35 kg/m2
Family history of preeclampsia
Multifetal pregnancy
Based on numbers of risk factors

High-risk factors:
Previous pregnancy with preeclampsia
Chronic hypertension
Autoimmune disease
Diabetes mellitus
Multifetal pregnancy
Renal disease

Moderate-risk factors:
Nulliparity
Age ≥ 35 y/o
Interpregnancy interval ≥ 10 years
Initial BMI ≥ 30 kg/m2
Family history of preeclampsia
History of SGA or adverse outcomes
Socioeconomic features
Based on numbers of risk factors

High-risk factors:
Previous pregnancy with preeclampsia
Chronic hypertension
Autoimmune disease
Diabetes mellitus
Renal disease
Initial BMI ≥ 30 kg/m2

Moderate-risk factors:
Nulliparity
Age ≥ 35 y/o
Family history of preeclampsia
< 6m sexual relationship before pregnancy
Connective tissue disorder
Bayes theorem: to combine the a priori risk from maternal characteristics and results of various biomarkers
  • -

    MAP (mean arterial pressure)

  • -

    UtA-PI (uterine artery pulsatility index)

  • -

    PAPP-A (serum pregnancy-associated plasma protein A)

Detection rate Preterm: 41%
Term: 34%
Preterm: 5%
Term: 2%
Not documented 8.2%, 64.0%, 71.8%, and 75.8% at 5%, 10%, 15%, and 20% fixed FPRs
False positive rate Preterm: 10%
Term: 10%
Preterm: 0.2%
Term: 0.2%
Not documented